MedEx has integrated multiple SMS and voice trunks under one hood for reliability and redundancy inside of OpenEMR. If you are developing new connections then follow Jerry P’s suggestions. If you are a practice looking for reliable messaging of all varieties for reaching your patients today (Reminders, Recalls, Announcements, No Show letters, TeleMedicine platform and more), please take a look at MedEx. Replies and message updates are displayed in the Calendar, Flow Board and Recall Board. Simply check the “Enable MedEx Communication Service” in Globals and sign-up. You should have the latest patches to get the best results. We are committed to lowering prices for OpenEMR users as user base grows, while providing continued financial support back into the OpenEMR Foundation.